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General NPI Number Information
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NPI Number | 1366706996
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Entity Type | Individual
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Provider Name | SHABNAMZEHRA BHOJANI M.D
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Gender | Female
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Dates
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Enumeration Date | 06/28/2012
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Last Update Date | 09/20/2019
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Provider Practice Location Address
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Address Line | 622 W 168TH ST PH 130
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 718-790-1140
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Fax | 718-880-1990
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Provider Business Mailing Address
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Address Line | 11011 QUEENS BLVD STE 1CC
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City | FOREST HILLS
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State | NY
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Zip | 11375-5438
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Country | US
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Telephone | 718-790-1140
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Fax | 718-880-1990
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A162461
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 265482
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License Number State | NY
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